HPA 301 Quiz 4 UPDATED ACTUAL
Exam Questions and CORRECT Answers
What is Medicare? - CORRECT ANSWER - Medicare is the federal health insurance
program for people who are 65 or older, certain younger people with disabilities, and people with
End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes
called ESRD).
FEDERAL- 65+
What is Medicaid? - CORRECT ANSWER - Medicaid is a health care program that assists
low-income families or individuals in paying for long-term medical and custodial care costs.
Medicaid is a joint program, funded primarily by the federal government and run at the state
level, where coverage may vary.
LOW INCOME/ Certain diseases
Why states have to choose - CORRECT ANSWER - -ACA designed Medicaid to cover
poor households
-Supreme Court upheld states' right to opt out of expanding Medicaid: 2012 National Federation
of Independent Business Vs. Sebeluis
-More than half of the states are expanding coverage
-Early on, decision mainly fell along partisan lines
The case for expanding Medicaid - CORRECT ANSWER - -90 % paid by federal
government through 2022 (federal match will start in 2014 and phase up to 90 percent in 2022)
- 100% for the first year
-17 million people would receive insurance: Extended coverage to poor adults earning up to
138% of the federal poverty level ($15,856 per individual; $26,951 for family of three)
-Private insurance could stop paying indirectly for the uninsured
-$42.7 billion per year or
, -About $1,017 per insured family
-Federal subsidies to hospitals for uncompensated care will phase out
The case against expansion - CORRECT ANSWER - -state budget shortfalls mean even
10% may be too much (mainly it comes down to money)
-federal budget under pressure means states may pay more than 10% after 2020.
-At that point, states will be politically, if not legally, required to continue footing the bill.
Tennessee's Perspective - CORRECT ANSWER - • Some are concerned the federal
government will not meet its obligations for expansion funding levels that would keep expenses
at the federal level and out of states' budgets. Yet, governors in other states have proposed
passing nuanced legislation to allow their states to withdraw from expansion if federal funding
drops below promised levels. These exit strategies are called "circuit breakers."
• Some are worried about the $200 million Tennessee will spend after federal funding drops
below 100 percent. • Some are concerned about increasing the national debt if Medicaid is
expanded in Tennessee.
Proponents' Stance on Medicaid Expansion: - CORRECT ANSWER - • Tennessee will
receive $6.5 billion from the federal government for Medicaid expansion coverage for $200
million in Tennessee State funds. • Expansion will reduce uncompensated care costs for both
providers and the state.
• Expansion will improve health for Tennesseans: A study by Harvard of early expansion states
published in the New England Journal of Medicine
showed:
— A 6.1 percent decline in deaths - For Tennessee, this would mean an estimated 1,100 fewer
deaths per year.
— A 21.3 percent decrease in the rates of delayed care due to financial constraints.
• Creates other societal value
— Tennessee will add 18,000-20,000 new jobs, with accompanying tax revenue
— Less absenteeism and increased productivity for businesses
— Improved financial health and fewer bankruptcies related to medical bills
- 60 percent of all bankruptcies are related to unpaid medical bills
Exam Questions and CORRECT Answers
What is Medicare? - CORRECT ANSWER - Medicare is the federal health insurance
program for people who are 65 or older, certain younger people with disabilities, and people with
End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes
called ESRD).
FEDERAL- 65+
What is Medicaid? - CORRECT ANSWER - Medicaid is a health care program that assists
low-income families or individuals in paying for long-term medical and custodial care costs.
Medicaid is a joint program, funded primarily by the federal government and run at the state
level, where coverage may vary.
LOW INCOME/ Certain diseases
Why states have to choose - CORRECT ANSWER - -ACA designed Medicaid to cover
poor households
-Supreme Court upheld states' right to opt out of expanding Medicaid: 2012 National Federation
of Independent Business Vs. Sebeluis
-More than half of the states are expanding coverage
-Early on, decision mainly fell along partisan lines
The case for expanding Medicaid - CORRECT ANSWER - -90 % paid by federal
government through 2022 (federal match will start in 2014 and phase up to 90 percent in 2022)
- 100% for the first year
-17 million people would receive insurance: Extended coverage to poor adults earning up to
138% of the federal poverty level ($15,856 per individual; $26,951 for family of three)
-Private insurance could stop paying indirectly for the uninsured
-$42.7 billion per year or
, -About $1,017 per insured family
-Federal subsidies to hospitals for uncompensated care will phase out
The case against expansion - CORRECT ANSWER - -state budget shortfalls mean even
10% may be too much (mainly it comes down to money)
-federal budget under pressure means states may pay more than 10% after 2020.
-At that point, states will be politically, if not legally, required to continue footing the bill.
Tennessee's Perspective - CORRECT ANSWER - • Some are concerned the federal
government will not meet its obligations for expansion funding levels that would keep expenses
at the federal level and out of states' budgets. Yet, governors in other states have proposed
passing nuanced legislation to allow their states to withdraw from expansion if federal funding
drops below promised levels. These exit strategies are called "circuit breakers."
• Some are worried about the $200 million Tennessee will spend after federal funding drops
below 100 percent. • Some are concerned about increasing the national debt if Medicaid is
expanded in Tennessee.
Proponents' Stance on Medicaid Expansion: - CORRECT ANSWER - • Tennessee will
receive $6.5 billion from the federal government for Medicaid expansion coverage for $200
million in Tennessee State funds. • Expansion will reduce uncompensated care costs for both
providers and the state.
• Expansion will improve health for Tennesseans: A study by Harvard of early expansion states
published in the New England Journal of Medicine
showed:
— A 6.1 percent decline in deaths - For Tennessee, this would mean an estimated 1,100 fewer
deaths per year.
— A 21.3 percent decrease in the rates of delayed care due to financial constraints.
• Creates other societal value
— Tennessee will add 18,000-20,000 new jobs, with accompanying tax revenue
— Less absenteeism and increased productivity for businesses
— Improved financial health and fewer bankruptcies related to medical bills
- 60 percent of all bankruptcies are related to unpaid medical bills
